Thank You for submitting your Intake Application to Daughters of Zion Clean & Sober Living House, Inc. We are reviewing your submission and a member of our Team will be in touch with you within 24 hours or on the next business day.
Be sure to check out our website for complete details at https://www.dozinc4u.org. You can also contact us by email at: firstname.lastname@example.org
Thank You for contacting us and To God Be the Glory!
Please review the DOZ website prior to submitting the Client Intake Application. Our website address: dozinc4u.org/
The following questions are asked for statistical purposes only and will not be considered in the application approval process.
Emergency Contact Information:
Please carefully read the following before signing.
I understand in order to be admitted to Daughters of Zion Clean and Sober Living House, Inc., I must present alcohol and drug-free prior to the admission date and be well enough to participate in the program. If I arrive under the influence of alcohol or other drugs, or in withdrawal requiring clinical intervention, I will be referenced to an appropriate detoxification setting before program admission.
I understand and agree to accept and attend all components of the program as identified by DOZ Staff. DOZ House Manager, DOZ Chaplain and Executive Director, including but not limited to groups and counseling sessions, I agree to abide by and follow all the rules of the program and all supportive housing participation rules.